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Medical Forum / Diseases and Disorders / Sinusitis / December 2005Antibiotics For Sinus Infection
I have a terrible sinus infection with horrible tasting drainage. This has been going on for several weeks after a flu virus. What are some of the antibiotics being prescribed for stubborn sinus infections? The drainage I have gives off a "sweet sick" taste. The mucous is colored white. I don't like taking antibiotics but what other choice is there for infection? Thanks jan. Wash your nose out some more with baking soda and salt. The last perscription I got was for Amoxicillin. It also depends on your health care carrier. If it is not on thier formulary, you are paying through the nose. My MD gave me Biaxin XL, as I am allergic Penicillin. shirleyann >I have a terrible sinus infection with horrible tasting drainage. >This has been going on for [quoted text clipped - 4 lines] >is colored white. I don't like taking antibiotics but what other >choice is there for infection? You could try Biaxin XL, or Cefzil, or maybe even Cipro. Those sometimes work for me. I would try to go with the 10 day dosage, as opposed to the 7 day, if you can get your doc to go along. Also, use a decongestant like Sudafed along with it. Good luck. >>I have a terrible sinus infection with horrible tasting drainage. >>This has been going on for [quoted text clipped - 7 lines] > You could try Biaxin XL, or Cefzil, or maybe even Cipro. Those > sometimes work for me. These are second-line antibiotics, to be used when the first-line antibiotics (amoxicillin, Bactrim) have failed. I think it's important not to jump to these more powerful antibiotics unless absolutely necessary, because we don't want to promote the growth of bacteria that are resistant to these drugs. As I see it, antibiotic treatment should use the cheapest first: 1. First try amoxicillin or Bactrim. 2. Then try Biaxin, Ceftin or Cipro. 3. Then try Levaquin or Avelox. 4. If all have failed, see an ENT.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. sdlitvin@earthlinkNOSPAM.net (Steven L.) wrote: >These are second-line antibiotics, to be used > when the first-line antibiotics (amoxicillin, [quoted text clipped - 14 lines] > >4. If all have failed, see an ENT. When I had my first major sinus flare-up back in 1984, the Dr. prescribed amoxicillin. ...It worked like a damn. Fortunately, I haven't had to take any antibiotic for a number of years now, but when I did (during the early 90s), the amoxicillin became totally useless. ..Likewise with the Biaxin. Now, it seems levaquin is the only one that helps. My Dr. said, that if one goes a period of time without using a commonly prescribed drug like amoxicillin, it could prove to be once more quite effective. Do you think that's possible? ...Does the bacteria lose their acquired immunity over time? ...Jon You can get a strain of anti-biotic resistan bacteria. This happens when people quit taking their antibiotics too soon. They feel better and stop taking the antibiotic creating a situation where not all the bacteria have been killed. The bacteria remaining are the most resistant of this strain. They have mutated and are more resistant. These bacteria will then be passed on from one human to another. The recpricant will have to have a different, more powerful antibiotic. Germ warefare is actually creating a bacteria that is resistant to all antibiotics. Hopefully, the developer of this bacteria will have prepared an antibotic that will help his warring side. This is the same principal as the neutron bomb. Kill all the residing people and then occupy their infrastructure. Neutron Jack aka Jack Welch of General Electric used the same principal. > I have a terrible sinus infection with horrible tasting drainage. > This has been going on for [quoted text clipped - 4 lines] > is colored white. I don't like taking antibiotics but what other > choice is there for infection? The other choice is "watchful waiting." After a flu virus, I was sick for months. I toughed it out and when the warm weather returned, the sunshine and warmth and sunbathing in fresh air helped me get better. The first line antibiotic is Augmentin (amoxicillin/clavulinate), unless you are allergic to penicillins. In that case, the other first-line choice is Bactrim (a sulfa drug). If you've never taken antibiotics for a sinus infection before, these have a good chance of doing the job. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. If the mucous is white it may not be due to bacteria so therefore the antibiotics would do no good. If it is thick, green and profuse then doctors will prescribe antibiotics. Steven L. has done a good job summarizing the antibiotics. Search this newsgroup for topics on irrigating the sinuses with a saline rinse. Irrigation can really help your sinuses recover. Plus make sure you drink plenty of liquids especially water, hot teas and chicken soup. > If the mucous is white it may not be due to bacteria so therefore the > antibiotics would do no good. If it is thick, green and profuse then [quoted text clipped - 3 lines] > your sinuses recover. Plus make sure you drink plenty of liquids > especially water, hot teas and chicken soup. For me, thick white stuff means allergie are in bloom. Drinking lots of water, as mentioned above, Astelin nasal spray and irrigation with very warm water are what helps me. Susan White drainage could also be due to a fungal infection or colonization such as Candida or another mold. If antibiotics don't work, then maybe Diflucan might or amphotericin nasal wash. Also, it could be inflammation and not infection. Then a short course of a prednione taper might help. Kathyw > White drainage could also be due to a fungal infection or colonization > such as Candida or another mold. If antibiotics don't work, then maybe > Diflucan might or amphotericin nasal wash. Also, it could be > inflammation and not infection. Then a short course of a prednione > taper might help. The fact that she said that the PND tastes bad, suggests there may be something wrong besides just inflammation or allergy. That "sweet sick" taste she reported, reminds me of the "rotting meat" smell I get when I have a sinus infection. Before exploring more exotic causes like fungal sinusitis, it makes sense to just rule out bacterial sinusitis as a complication of the flu. And the best way for a primary-care physician to do that is try a course of an antibiotic and see what happens. Prednisolone is a good idea and can be taken together with the antibiotic. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
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